An overview of head support solutions for people with reduced or altered head mobility

Abstract

Objective: To create an overview of existing assistive devices for supporting the head of people with decreased or altered head mobility. Additionally, to investigate if there are any functionalities missing in the current head support solutions. Search strategy: A systematic literature review was performed, combined with searches in technology manufacturer databases and websites, to get an overview of existing head support solutions. Expert opinions were gathered, as well as feedback from a number of head support users by means of semi-structured interviews. Selection of articles: A database was constructed from the assistive devices that were found. Evaluation of articles and results: Devices were categorized with respect to type of interface with the user, functionality and amount of adjustability in the system. Conclusion: Existing solutions that stabilize the head are mainly static, meaning that the head can only be stabilized in one position. Some systems offer freedom of movement but do not really support the head. Additionally, some systems can be configured such that there is a certain level of adaptability to the user. However, if head support systems are adjustable, most often it are systems which enable the caregiver and/or end user to manually change the head support to another position. Based on feedback from experts and users there can be concluded that there is a need for assistive devices that provide independent adjustability in such a way that changes in position of the trunk and head are combined with continuous stabilization